NPIMap

Organization Active NPI

Renaissance Family Care

  • Family Medicine Physician
  • East Meadow, NY
National Provider Identifier
1184946899
Registry record updated Dec 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
236983 Issued in NY
Legal business name
RENAISSANCE FAMILY CARE
Practice address
1704 Noble St
East Meadow, NY 11554-5007
Phone
(516) 862-0200
Fax
(718) 387-6429
NPI assigned
Feb 22, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Tanesha Lawrence, MDNPI 1548330749
Title
Owner
Phone
(917) 346-0543

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 236983 NY Primary

Addresses

Primary practice location

1704 Noble St
East Meadow, NY 11554-5007

Mailing address

1704 Noble St
East Meadow, NY 11554-5007
Phone (516) 862-0200

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1266796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1672099200000",
    "number": "1184946899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1704 NOBLE ST",
            "city": "EAST MEADOW",
            "state": "NY",
            "postal_code": "115545007",
            "telephone_number": "516-862-0200",
            "fax_number": "718-387-6429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1704 NOBLE ST",
            "city": "EAST MEADOW",
            "state": "NY",
            "postal_code": "115545007",
            "telephone_number": "516-862-0200",
            "fax_number": "718-387-6429"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENAISSANCE FAMILY CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-22",
        "last_updated": "2022-12-27",
        "certification_date": "2022-12-27",
        "status": "A",
        "authorized_official_last_name": "LAWRENCE",
        "authorized_official_first_name": "TANESHA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "917-346-0543",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "236983",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Meadow, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.